Evidence map›Paper›PMID 26711242›Full record

ArticleClinical and experimental nephrology2016

Prediction of urine volume soon after birth using serum cystatin C.

Atsushi Kasamatsu, Atsushi Ohashi, Shoji Tsuji, Hidetaka Okada, Hideharu Kanzaki, Kazunari Kaneko

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Article in Clinical and experimental nephrology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Atsushi KasamatsuDepartment of Obstetrics and Gynecology, Kansai Medical University, Osaka, Japan.
Atsushi OhashiDepartment of Pediatrics, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010, Japan.
Shoji TsujiDepartment of Pediatrics, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010, Japan.
Hidetaka OkadaDepartment of Obstetrics and Gynecology, Kansai Medical University, Osaka, Japan.
Hideharu KanzakiDepartment of Obstetrics and Gynecology, Kansai Medical University, Osaka, Japan.
Kazunari KanekoDepartment of Pediatrics, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010, Japan. kanekok@hirakata.kmu.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUrine volume is an important clinical finding particularly during the early neonatal period. Oliguria is not a sign of impaired renal function but also a predictive factor for various complications and prognoses. It has been postulated that serum cystatin C (S-CysC) is a more sensitive biomarker for renal function than serum creatinine (S-Cr) in both adults and children. The objective of the current study was to investigate whether urine volume during 24 h after birth can be predicted using S-CysC.

methodsThe subjects were 87 infants. The average gestational age was 34.7 ± 2.9 weeks and the average birth weight was 2135 ± 614 g. Blood samples were obtained from either the umbilical cord or the peripheral veins or artery of the newborn at birth. Data regarding the amount of urine volume and fluid intake during the first 24 h of life, maternal S-Cr and S-CysC levels within 48 h before delivery, and neonatal S-Cr and S-CysC levels at birth were collected from the medical records.

resultsA significantly positive correlation was observed between maternal and neonatal S-Cr levels (r = 0.84, p < 0.0001) but not between maternal S-Cr levels and neonatal S-CysC levels (r = -0.069, p = 0.52). A significant negative correlation was seen between neonatal S-CysC levels and urine volume (r = -0.47, p < 0.0001).

conclusionThe present study findings indicate that it may be possible to use S-CysC levels at birth to predict urine volume during the first 24 h of life.

Indexed as

UrinationUrodynamicsBiomarkersCystatin CEarly DiagnosisFemaleHumansInfant, NewbornKidneyMaleOliguriaPredictive Value of TestsRetrospective StudiesTime FactorsBiomarkersCystatin CCreatinineCystatin CNeonateOliguriaUrine volume

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.